Acute cerebral stroke after multiple wasp bites: a case report from eastern Nepal

Abstract

Wasp bite is an important occupational hazard. The symptoms of wasp bite range from bite site pain, swelling, redness to systemic features like hypotension, acute kidney injury and rhabdomyolysis. The acute ischemic stroke after such bite is a rare phenomenon. We report the case history of a 65 years old patient who had an acute ischemic stroke on day third of wasp bite. The patient presented to an emergency room of B. P. Koirala Institute of Health Sciences with complaints of pain over the whole body after two hours of the bite. The patient was intubated because of hypoxia and kept on mechanical ventilation for two days in intensive care unit. On third day of wasp bite, the patient developed left hemiparesis along with upper motor neuron type facial palsy. Computed tomography of the head revealed acute ischemic infarct of the right frontoparietal lobe. Wasp bite may be considered as the risk factor for acute ischemic stroke.